I understand that property in which I have an interest has been seized by CBP/U.S.

Immigration and
Customs Enforcement (ICE) under case number 2017-5309-000178-01.
Check ONLY ONE (1) of the following choices:

1. I REQUEST THAT CBP CONSIDER MY PETITION ADMINISTRATIVELY

BEFORE FORFEITURE PROCEEDINGS ARE INITIATED. My petition is attached. By
making this request, I understand that I can request, in writing, that my case be referred for
judicial forfeiture proceedings at any time prior to the completion of the administrative forfeiture
proceedings or as set forth in the notice of seizure. If I choose to wait for an administrative
decision on my petition, my deadline for filing a claim as required by 18 U.S.C. 983(a)(2)(B) is
60 days from the date of the petition decision; or, if I choose to file a supplemental petition, my
deadline for filing a claim as required by 18 U.S.C. 983 (a)(2)(C), is 60 days from the date of
the supplemental petition decision. If I fil.e a complete Seized Asset Claim form or other claim
consistent with the requirements of 18 U.S.C. 983(a)(2)(C), CBP consideration of my petition
will stop and the case will be sent to the United States Attorneys Office for judicial forfeiture
proceedings.

2. I REQUEST THAT CBP CONSIDER MY OFFER IN COMPROMISE

ADMINISTRATIVELY BEFORE FORFEITURE PROCEEDINGS ARE INITIATED. My
offer is attached. By making this request, I understand that I can request, in writing, that my case
be referred for judicial forfeiture proceedings at any time prior to the completion of the
administrative forfeiture proceedings or as set forth in the notice of seizure. If I choose to wait
for an administrative decision on my offer, my deadline for filing a claim is 30 days from the
date of the decision. If I file a complete Seized Asset Claim form or other claim consistent
with the requirements of 18 U.S.C. 983(a)(2)(C), CBP consideration of my offer will stop and
the case will be sent for judicial forfeiture proceedings.

3. I ABANDON ANY CLAIM OR INTEREST I MAY HAVE IN THE PROPERTY. I

understand that no additional notice about future proceedings concerning the property will be
provided to me.

4. I AM FILING A CLAIM AND REQUESTING THAT CBP REFER THE CASE FOR
COURT ACTION. Please send the case to the U.S. Attorney for court action. I have fully
completed, signed and attached a Seized Asset Claim form. I understand that if I have not fully
completed this form, or otherwise made a proper claim and request for judicial forfeiture
pursuant to 18 U.S.C. 983(a)(2)(C) within 35 days after the date the notice of seizure was
mailed, CBP will treat any submission as a petition for relief without the ability to seek future
judicial forfeiture proceedings.

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